ATI RN
Maternal Monitoring During Labor Questions
Question 1 of 5
A patient in labor is at 6 cm dilation and requests an epidural. What is the most appropriate response from the nurse?
Correct Answer: B
Rationale: The correct answer is B: "You can have the epidural now since you are in active labor." At 6cm dilation, the patient is typically considered to be in active labor, making it an appropriate time to offer an epidural for pain relief. Administering the epidural at this stage can help manage the pain effectively and provide relief during the remainder of labor. Other choices are incorrect because waiting until 8cm dilation (Choice A) may cause unnecessary suffering, administering after the second stage (Choice C) is too late for pain relief, and giving it during the latent phase (Choice D) is not ideal as the patient may not be in active labor yet.
Question 2 of 5
A patient in labor who is 7 cm dilated requests pain relief. What is the most appropriate intervention at this time?
Correct Answer: A
Rationale: The correct answer is A: Administer an epidural block. At 7 cm dilation, the patient is in active labor and an epidural can provide effective pain relief without affecting the ability to push during the second stage of labor. Epidural blocks work by numbing the lower part of the body, reducing pain sensation while allowing the patient to remain alert and able to push effectively when the time comes. Non-pharmacological methods (B) may not provide sufficient relief at this stage. Narcotic analgesics (C) can pass through the placenta and affect the baby. Encouraging the patient to push (D) prematurely can lead to exhaustion and prolonged labor.
Question 3 of 5
The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which statement by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Using marijuana while pregnant can have a negative effect on the neurological development of your baby. Rationale: 1. Marijuana use during pregnancy has been associated with adverse effects on the developing fetus, including potential negative impacts on neurological development. 2. The nurse's statement acknowledges the potential harm to the baby's neurological development, emphasizing the importance of avoiding marijuana during pregnancy. 3. This response focuses on providing essential information to the patient about the specific risks associated with marijuana use during pregnancy, highlighting the importance of making informed choices for the health of the baby. Summary: A: This choice makes assumptions about the patient's past behavior and does not provide essential information about the risks of marijuana use during pregnancy. B: This choice focuses on the timing of stopping marijuana use rather than addressing the potential harm to the baby's neurological development. D: This choice mentions miscarriage as a risk, which is not the primary concern associated with marijuana use during pregnancy.
Question 4 of 5
A nurse is providing prenatal education to a pregnant patient. Which of the following statements indicates a need for further teaching about maternal weight gain during pregnancy?
Correct Answer: B
Rationale: The correct answer is B because the statement "I should eat for two during pregnancy" is incorrect. The rationale is that during pregnancy, a woman does not need to eat for two individuals. Instead, she needs to consume additional calories to support the growth and development of the fetus. Eating for two could lead to excessive weight gain and potential complications. The other choices indicate correct understanding and knowledge about maternal weight gain during pregnancy. A suggests the recommended weight gain range, C acknowledges the importance of exercising within doctor's limits, and D highlights the risks of gaining too much weight during pregnancy.
Question 5 of 5
The nurse is caring for a pregnant patient who is experiencing frequent contractions. The patient asks the nurse if the contractions are normal. Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Frequent contractions may be a sign of preterm labor, and further evaluation is needed. This response is appropriate because frequent contractions in a pregnant patient can indicate preterm labor, which requires immediate medical attention to prevent potential complications for both the mother and the baby. It is crucial to evaluate the situation to determine the cause of the contractions and take appropriate actions. Explanation for other choices: A: Contractions are common at this stage and are usually harmless - This is inaccurate as frequent contractions, especially in a pregnant patient, should not be dismissed as harmless without proper evaluation. B: Frequent contractions are always a sign of labor starting - This is incorrect because frequent contractions do not always indicate the onset of labor, especially in the case of preterm labor. D: You should drink more water to stop the contractions from happening - This is not an appropriate response as hydration may not necessarily stop contractions, especially if they are due to pre